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InitiallyGood i 1 i ADDRESS: i JID30 ID (;NAvkvus -. i i 2 J .J i:Vecordslmicrnilm\targels\buildirig.doc CITYOF TI GARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd Tigard,Oragon 97223*81gg (503)639.4171 PLUMBING PERMIT PERMIT #. . . . . . . : PLM94-014 b39-4171 DATE ISSUED: 07/22/94 PARCEL: 1S134DA-00800 ITE ADDREFL�. I 1030 SW 106TH AVE '.-)UBDIVISION. . . . : NORTHERN PINE Z014ING: R-4. 5 DLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :8 CLASS OF WORK. . 'ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACES. TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1 OCCUPANCY GRP,. . : R3 FLOOR DRAINS. . . . . . . . TRAPS. . . . . . . . . . . . . . . STORIES. . . . . . . . . WATER HEATERS. . . . . . : CATCH BASINS. . . . . . . : LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . . . . . . : LAVATORIES. . . . . : OTHER FIXTURES. . . . . - 7-UB/5HOWEFS. . . . : SEWER LINE (ft ) . . . . WATER CLOSE1S. . : WATER LINE (ft ) . . . . DISHWASHERS. . . . RAIN DRAIN ( ft) . . . . : Re mar-k 3 Uwner,: FEES JUDY TACCOGNA type amount by date V-eQpt �11-030 SW 106TH AVE PRMT $ 15. 02 JG 07/22/94 5PCT $ 0. 75 Jai 07/ 9 4 TIGARD OR 97223 Phone IR: Contractor: DENNIS' 7 DEES 7355 SE JOHNSON CREEK BLVD PORTLAND OR 97206-9329 _._._.___________,.__.____-_-_._..__---___....__-._ P' icine #: 777-7777 S 15. 75 TOTAL Rey #. . : 5009 REQUIRED INSPIECTIO14S This persit is issued subject to the regulatinns contained in the RP/hack flow Pr-ev Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Insper-tion applicable laws. All work will be done in accordance with approved Dlans. This pewit will expire if work is not started within 18@ days if issuance, or if work is suspended for tore in than 18@ days. PIP r-ni i t t P E? 1--i i gnat 1.n-e I s,s i-�e d B Call I for- inspection 639-4175 INSPECTION NOTICE City of Tigard Building Department 13125 SH Ball Blvd. Tiga-d, Oregon 97223 Inspection Line (Rec-O-P one): 639-4175 Bul/inee9 Phone 639--4171 Inspection•—_—_ ��,< 0 D — Footing Plbg. Underelab Mach. Rough-in Appr/Sdwlk Found. Plbg. Top Out Gas Line FINAL: Poet/Beam St-uct. San. Sewer Framinq -Bldg. Post/Ream Mach. Rain Drain Insulation -Plumb. Plbg. Underfloor Water Line Gyp. Rd. -Meth. Date Requested: I Times AM PM Address: Permit 1,0­a—!VJ 7 Builder. THE FOLLOWING CORRECTIONS ARE REQUIRED: LD CL" N CD — W Inspector: �ROVED DISAPPROVED -- APPROVRII SIIR.IECT TO ABOVE _Call For Relnsp. 1 !I I iii IM) !'1 i11 , Iit'll n 1111 t ) t IF�J�11 r IV VE.14 IK. I f tl•II1 I:f li'L I'II I +' ,! I + 11 1� +I II ! I t t ! )RVIOSE OF I-,, 'Mi N T 011111)N I 1 '11 1 1, it : i .IAMB 1 NI , ! fA 11i .+?� +11111 1-41101.041 Pili111 T':+ -V CITY OF TIGARD ?tet 2 PLUMBING PERMIT 13.125 SW HALL BLVD. P. O. BOX 23397 Applicants must hold Oregon Registration to conduct a plumbing TIGARD, OR 97223 �JL business or must be property owner/operator not hiring outside help. Name ofDovolopment 1/ 503 639-4175 _ Plumbing Pcrmil No. Doxxiption v ONS©14-21-010 WAN. PRICE r.MT. Job Tax Map.No. Addroer Ln1 E11odt Subdivlsbn [v' Sir Ane-ZrX su,aa�gs ---- La, ` V (7 r� n f �1 7.50 n L.I 'a ���� Tut ` 1 �L-.1 7.50 Mailing ess 111 ! 7.50 _ 1 �-� 1. _ -' _ / - Owner City/State zip Wa - 7.50 Dist 7.54) Ptvone Gar 7.53 ' `— Name Washing Machine - - •7.50 - -- -• door Drain 7.50 kV Address Phone Wafor Healer — - 7,50—-- OccupantCity/State — Tp Laundry Noon Tray - 7.50 ' Urinal 7.50 ame ane Other Fixtures(Specify) 7-50 DENNIS'SEVEN DEES LANDSCAPiNG, IM 7.50MR ' g LYAH — — 7.50 PORTLAND,OREGON 9720693;9 — --- -- Contractor Gty/SStats - 7.50 ������ MISCELLANEOUS City Cos.Tax No. Sower 1st 100' 50.00 ,'r\LL '7^ tate s. o. Stale / ,ers1� lac.No. �NA1 tla•nrkfit.100' --_ 15.00 \\' (Res+denlial) Water Service 1 st 100• 20.00 I hereby adubwiodge that I have road it"applicatbn•that the Information Water Sennoe ea_Addit r 15.00 given is correct,that 1 un rsgiciwod'*vith the State Builders Board.and also Storm g,dein Drain 1 st 100• 30.00 - he"a State Pkm**V license that the numbers given are oorrecl.11=1 all - - plurTvbing trod(will be done in socordanos with applicable provisions of Ore- Storm 6 P.-in Drain Addit.100• 15.00 _ gon Revised Statutes Cheptors 447 and 693 and apptlrAble oodes and that Mobile Home Space 25.00 no help will trf en pkYyed unless Iloenaed under ORS 693.(M OX"A -- State registration•please give reason boknv). [lack Flow Prevention F10MEOWNERS-1 hereby certify tivd 1 tun the owner d do-tt,e Property do- or Anti-Pollution Device 7.50 -__- _-- -- r cubed above.at wf ach location 1 propose b nuke a plurd*,p rnatallsdOn br Airy T rap or W axle Nol n y own use and this pxor,"Is not being constructed Wr sale,tease or rent Connected to a Fixtum 7.50 Ca1dr Basin 7.50 -.------_-----------._.-.__._ ---- ------ - kvep.d ExM1.Pkxnbing 40.00 Per Nr. -- - ---- ------ ----- — Specially Requested lnlp octio,a -- - 40.00 Per Hr. N --- - -- ---- —� Rain Drain, --- 15.00 _ Single ram. Dwlg. Hh2D NAUJR5_ — GD � � Describe work new❑ addition(] attorntan(] repalt❑ —� u: I tg be dom residential— J — _ 6dstktp tare of MINIMUM PERMIT FEE 25.00 - txAlJrlp or Propwrty-� — -�_ SUB-TOTAL M�d uM of -- - -- -- 5% SURCHARGE. or pmp"---- - 25% PLAN REVIEW NOTICE -- TNI twrr.at b000rn"null and void$' Axk or oor �txxkx,autivorlxexl r not oor„ �— TOTAL nwioed w1tNn 100 deys,or a rxxvxlrurinn or work fa stnpavdod or alwxllm d for •parlod d 180 days at any finve atsw%*"*to oonvrwiorx�mad. L L I tt NCtAL 0Of1104TIONS Date, i77twd by